Nu 554 Sacred Heart Breasts

Front 1

The breasts are on top of these muscles

Back 1

pectoralis major and serratus minor

Front 2

The "tail of Spence" describes this portion of the breast

Back 2

breast tissue that extends into axillae

Front 3

True or False The breast is not hormonally sensitive

Back 3

False; it responds to changes in monthly cycles and aging

Front 4

True or False Smooth muscle of the nipple and areola contract to express ilk

Back 4

True

Front 5

During a physical examination of the breast, the areola may appear ?

Back 5

puckered and wrinkled

Front 6

Is physiologic nodularity unilateral or bilateral

Back 6

Bilateral; can increase before menses

Front 7

True or False Having an extra nipple indicates increased risk for breast cancer

Back 7

False

Front 8

Most palpable of axillary lymph nodes

Back 8

central nodes

Front 9

These nodes drain the anterior chest and breast

Back 9

pectoral nodes

Front 10

These nodes drain the arm

Back 10

Lateral nodes

Front 11

Malignant breast cancer may drain to these 2 areas

Back 11

infraclavicular nodes or deep into the chest

Front 12

Best time for woman to do self breast exam

Back 12

5-7 days after menses

Front 13

Term for inappropriate discharge of milk-containing fluid

Back 13

Galactorrhea

Front 14

Age at which most fibroadenoma appears

Back 14

age 15-25

Front 15

Describe how a breast mass feels that is cancerous

Back 15

irregular, firm, not clearly delineated

Front 16

Most cause of cancer for women worldwide

Back 16

Breast cancer; affects more than 10% of cancers in women

Front 17

What is the risk for women in the US to develop breast cancer?

Back 17

1 in 8

Front 18

At what ages are the highest mortality from breast cancer

Back 18

Under 35 or over 75

Front 19

Name 2 reasons for a decline in invasive breast cancer

Back 19

Decreased mammography and decreased use of hormone replacement therapy

Front 20

What population has a higher incidence of breast cancer before the age of 40

Back 20

African American women

Front 21

Name 5 non-modifiable risk factors for developing breast cancer

Back 21

Age, family history, age at first-full term pregnancy, age of menarche, age at menopause, breast density

Front 22

Name 2 modifiable risk factors for breast cancer

Back 22

postmenopausal obesity, use of HRT, alcohol use and physical inactivity, oral contraceptive

Front 23

This activity can decrease risk of breast cancer

Back 23

Breast feeding

Front 24

What is the Gail Model?

Back 24

A breast cancer risk assessment tool that incorporates age, first-degree relatives with breast cancer, previous breast bx, hyperplasia, age at menarche, age at first delivery

Front 25

True or False Risk for breast cancer can be inherited

Back 25

True; can inherit BRCA1 and BRCA2 which increase risk by 65% and 45% respectively

Front 26

True or False The Gail model can accurately predict breast cancer within an individual woman

Back 26

False; it can accurately predict amongst a population

Front 27

Radiologic density in more than 60%-5% of breast increases risk of breast cancer by ?

Back 27

4-6 times

Front 28

True or False Breast density does not affect sensitivity and specificity of mammograms

Back 28

False

Front 29

For women aged 40-50 who are asymptomatic, what is the recommendation for mammogram screenings?

Back 29

Every 2 years

Front 30

True or False The American Cancer Society recommends montly BSE

Back 30

False

Front 31

When would a breast MRI be recommended?

Back 31

For high risk women: known BRCA1 or 2 mutation, known 1st degree relative with mutation, lifetime risk of 20-25%, hx of chest radiation between ages 10-30

Front 32

What are some problems with MRI

Back 32

costs are high, more false positives, recalls and biopsies increased

Front 33

True or False The U.S. Preventive Services Task Force recommends chemoprevention in all women

Back 33

False; only in women at high risk for breast cancer and low risk for adverse effects

Front 34

True of False Thickening of the skin and prominent pores is normal in the breasts of elderly women

Back 34

False; it is abnormal at any age and can suggest breast cancer

Front 35

What 4 positions should a women be examined in to inspect for retraction?

Back 35

Arms at side, arms overhead, arms pressed against hips and leaning forward

Front 36

True or False Women may have one breast or areola that is larger than the other

Back 36

True

Front 37

True or False Asymmetry of nipple directions may suggest cancer

Back 37

True

Front 38

True or False Longstanding nipple inversion is suggestive of cancer

Back 38

False

Front 39

The area of the breasts is which? rectangular or circular

Back 39

Rectangular

Front 40

What is the best validated method to palpate the breasts?

Back 40

Vertical strip pattern

Front 41

What position should the patient be in to assess the lateral portion of the breast?

Back 41

Patient to roll onto opposite hip and place her hand on her forehead but keep shoulders pressed against table

Front 42

True or False Mammary duct ectasia is a form of malignant breast cancer

Back 42

False

Front 43

True or False Nipples should be flexible and thin

Back 43

True

Front 44

What is the incidence of male breast cancer and at what age does it peak?

Back 44

1%; peaks at age 71

Front 45

What is the preferred method to exam the axillae?

Back 45

Sitting

Front 46

What is acanthosis nigricans?

Back 46

Form of internal malignancy assoc. with deep pigmentation and velvety smooth axillary skin

Front 47

When would you suspect malignancy when palpating nodes?

Back 47

Nodes > 1cm, firm or hard, fixed to skin or matted together

Front 48

What are some causes of nonpeurperal galactorrhea?

Back 48

hypothyroidism, pituitary prolactinoma, and drugs that are dopamine agonists such as psychotropics and phenothiazines

Front 49

Spontaneous unilateral bloody discharge from 1-2 ducts could be suspicious for ?

Back 49

ductal carcinoma in situ, Paget's disease, or intraductal papilloma

Front 50

True or False Nipple discharge that is multiductal, serous, green, black or nonbloody are often very concerning

Back 50

False

Front 51

True or False Women who have had mastectomies no longer need to have a breast exam

Back 51

False, must still inspect for masses, nodes, change in color or signs of inflammation

Front 52

Where do roughly half of breast cancers occur?

Back 52

Upper outer part of breasts